The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Enrollment/Disenrollment specialist to perform accurate processing of

…program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO,

…requirement, as well as a clear understanding of the SOP within CM/UM and managed care . A regional leader based in Roanoke, Virginia, our community-based

…and working medical accounts receivables preferred. Knowledge of medical insurance, managed care plans, deductibles, co-pay and contractual adjustments.

…duties. Home Health billing experience preferred. Must have extensive knowledge of Managed Care , Private Insurance and other related payersKNOWLEDGE: Working

…PGY-1 Pharmacy Practice Residency preferred Experience in a physician practice, ambulatory care , or managed care setting preferred Experience working

…Assessment Coordinator is responsible for all of the facility Medicare and Managed Care residents as directed by the Resident Assessment

…criteria and documentation necessary for reimbursement; including Medicaid, Medicare, and Managed Care .Demonstrates leadership in the professional practice of

…3+ years collections exp in a high volume, healthcare / managed care , production-driven environment Exp. w/ Denials/Appeals/Rejections/Aging Exp. with

…the first year. Vera's model is anchored by three core elements: high engagement, managed care and organizational culture change, which combine to drive down